Ka hoʻohana ʻana i ka ultrasound portable i ka pilikia nui

Ka hoʻohana ʻana i ka ultrasound portable i ka pilikia nui

Me ka hoʻomau mau ʻana o ke kaiāulu, ua lilo ka nānā ʻana i ka ultrasound i kekahi o nā ʻano hoʻokolokolo pono ʻole no ka maʻi maʻi.I ka hoʻoponopono ulia pōpilikia, ʻo ka hoʻokolohua ultrasound portable he ākea ākea, kiʻekiʻe pololei, wikiwiki ka nānā ʻana i ka wikiwiki, ʻaʻohe trauma a ʻaʻohe contraindications.Hiki i ka hoʻokolokolo hou ke nānā wikiwiki i nā mea maʻi i kēlā me kēia hiʻohiʻona, lanakila i ka manawa hoʻopakele makamae no nā poʻe maʻi me ka ʻeha make nui, a hoʻoponopono i ka hemahema o nā kukui X.ʻO ka hōʻoia like me ka hoʻokolokolo X-ray;ʻO ka pōmaikaʻi nui loa, ʻo ia ka mea hiki ke nānā ʻia nā poʻe maʻi pilikia me ka neʻe ʻole o ka neʻe ʻana i kēlā me kēia manawa a ma nā wahi āpau, a ʻaʻohe palena palena, ʻo ia ke ʻano hoʻokolokolo mua no nā maʻi maʻi koʻikoʻi.

Ke kūlana noi o ka ultrasound bedside ma ka home a ma waho

1. Nui aʻe a ʻoi aku ka ikaika o ka hoʻomaʻamaʻa ultrasound ma ka honua.I kēia manawa, ua hoʻokumu ʻia kahi ʻōnaehana aʻo kumu a kūpono, a ua hoʻokumu ʻia ka World Intensive Ultrasound Alliance (WINFOCUS).
2. Pono ka American College of Emergency Physicians e aʻo i nā kauka ulia pōpilikia i ka ʻenehana ultrasound pilikia, a ʻo 95% o ka pae 1 trauma centers ma ʻAmelika Hui Pū ʻIa (190) hana i ka ultrasound pilikia.
3. Ua hoʻohana nui nā kauka ulia pōpilikia ma ʻEulopa a me Iapana i ka ultrasound e kōkua i nā maʻi i ka maʻi maʻi a me ka mālama ʻana
4. Ua hoʻomaka lohi ʻo Kina, akā wikiwiki ka holomua.

Ka noi ʻana o ka ultrasound portable i ke kōkua mua a me ka ʻōpū ʻeha

01 Nānā mua
ʻO ka nānā ʻana no ke ala ea weliweli i ke ola, ka hanu a me ke kahe.- Kokua mua, pilikia

02 Nānā lua
E ʻike i nā ʻeha i ʻike ʻia ma nā wahi āpau o ke kino - pilikia, ICU, ward

03 Ka helu ʻekolu
ʻO ka nānā ʻōnaehana piha e pale i ka nalo ʻana i ka trauma -ICU, ward

Noʻonoʻo Ultrasound Assessment of Trauma (FAST):ʻEono mau helu (subxiphoid, epigastric hema, epigastric ʻākau, ʻāpana renal hema, ʻāpana renal ʻākau, lua pelvic) i koho ʻia no ka ʻike wikiwiki ʻana i ka ʻeha make.

1. Ka 'ike 'ana i ka ikaika blunt a i 'ole ka ea 'eha i loko o ke kumu a me ka wai noa i loko o ka opu: Ho'ohana 'ia ka ho'okolokolo FAST no ka 'ike mua 'ana i ke koko pleural, a no ka ho'oholo 'ana i ka wahi a me ka nui o ke koko (pericardial effusion, pleural effusion, abdominal effusion, pneumothorax, etc.).
2.ʻO nāʻeha maʻamau: ke ake, ka'ōpū, kaʻeha pancreas
3. ʻAʻohe ʻeha maʻamau: acute appendicitis, cholecystitis acute, gallstones a pēlā aku.
4. Maʻamau gynecology: ectopic hapai, placenta previa, hapai trauma, etc
5. ʻEha keiki
6. Pono ka hypotension wehewehe ʻole a pēlā aku i nā hoʻokolohua FASA

Application o portable ultrasound mapuʻuwai

ʻO ka loiloi wikiwiki a me ka maikaʻi o ka nui holoʻokoʻa a me ka hana o ka puʻuwai, ka nui o nā keʻena pākahi o ka puʻuwai, ke kūlana myocardial, ka hele ʻana a i ʻole ka ʻole o ka regurgitation, ka hana valve, ka hapa ejection, ka loiloi ʻana i ke kūlana o ke koko, ka loiloi ʻana o ka puʻuwai puʻuwai, wikiwiki. ka ʻike ʻana i nā kumu o ka hypotension, hema a ʻākau ventricular systolic/diastolic function, alakaʻi i ka wai therapy, volume resuscitation, alakaʻi i ka nānā ʻana i ka cardiopulmonary, ʻaʻohe o ka naʻau o nā maʻi trauma a me ka mālama wikiwiki ʻana i ka pericardial effusion a me ke koko, etc.

1. ʻO ka hoʻoheheʻe ʻana o ka pericardial: ʻike wikiwiki ʻia o ka hoʻoheheʻe ʻana o ka pericardial, pericardial tamponade, ka hoʻoheheʻe ʻia ʻana o ka pericardial.
2. Ka nui o ka pulmonary embolism: Hiki i ka Echocardiography ke kōkua i ka hoʻokuʻu ʻana i nā kūlana me nā hōʻailona e like me ka pulmonary embolism, e like me ka cardiac tamponade, pneumothorax, a me ka myocardial infarction
3. Ka loiloi hana o ka ventricular hema: Ua ʻike ʻia ka hana systolic ventricular hema e ka scan wikiwiki o ka axis nui hema, axis liʻiliʻi hema, apical ʻehā keʻena puʻuwai, a me ka hakina hoʻokuʻu ventricular hema.
4. Aortic dissection: Hiki i ka Echocardiography ke ʻike i kahi o ka dissection, a me kahi o ke komo ʻana.
5. Myocardial ischemia: Hiki ke hoʻohana ʻia ka echocardiography e nānā i ka puʻuwai no ka neʻe ʻana o ka paia.
6. ʻO ka maʻi puʻuwai valvular: Hiki i ka Echocardiography ke ʻike i nā leo valve abnormal a me nā loli i ke kahe kahe koko.

Ka hoʻohana ʻana i ka ultrasound portable ma ka māmā

1. Hoʻohana ʻia no ka loiloi ʻana i ke koʻikoʻi o ka maʻi maʻi maʻi mua-waena, ʻike ʻia nā ʻōpala liʻiliʻi o ka pulmonary hydrosis i loko o ka māmā.
2. Hoʻolaha nā māmā ʻelua i ka laina hui B, e hōʻike ana i ka hōʻailona "māmā keʻokeʻo", hoʻohui pū i ka māmā.
3. E alakaʻi i ka hoʻonohonoho ʻana o ka ventilator a nānā i ke ʻano o ka hoʻonui hou ʻana o ka māmā
4. No ka hōʻoia ʻana o ka pneumothorax: hōʻailona stratospheric, wahi māmā a me nā hōʻailona ʻē aʻe e hōʻike ana i ka hiki ʻana mai o ka pneumothorax.

Ka noi ʻana o ka ultrasound portable ma ka tendon muscle

1. Hiki ke hoʻomaopopo i ke kani ʻana o ke kani ʻana inā ua haehae ʻia ka tendon a me ka nui o ka waimaka
2. No nā poʻe maʻi me ka ʻeha a me ka pehu o nā lima a me nā wāwae, hiki i ka ultrasound ke hōʻoia wikiwiki a hilinaʻi i ka tenosynovitis, e kōkua ana i ka hoʻomaikaʻi ʻana i ka maikaʻi o ka mālama a koho i ka lāʻau kūpono.
3. E loiloi i ke komo ʻana o ka hui ʻana i ka maʻi o ka maʻi maʻi
4. E alakaʻi pololei i ka manaʻo o ka tendon a me ka bursae a me ka ʻiʻo ʻiʻo palupalu

Ka noi ʻana o ka ultrasound portable ma ke alakaʻi alakaʻi

1. ʻO ka hoʻopaʻa ʻana i ka ʻaʻa waena i alakaʻi ʻia e ke kani kani (ke aʻa i loko, ke aʻa subclavian, ke aʻa femoral)
2. ʻO ke kani ʻana o ke kani ʻana i ka PICC
3. ʻO ka catheterization alakaʻi ʻia e ka ultrasound o ke aʻa invasive
4. Alakaʻi Ultrasound i ka ʻāʻī o ka ʻōpū, alakaʻi i ke kani ʻana o ka ʻōpū o ka ʻōpū.
5. ʻO ka hoʻoheheʻe ʻia ʻana o pericardial i alakaʻi ʻia e ka ultrasound
6. ʻAi ʻia ka ultrasound percutaneous hepatogallbladder puncture

Hiki ke ʻike ʻia ʻo ka Doppler ultrasound diagnostic instrument he laulā nui loa o nā noi i nā hihia koʻikoʻi, e hāʻawi ana i kumu hilinaʻi no ka maʻi maʻi hou a me ka mālama ʻana, a me ka hoʻomaopopo ʻana e hiki i nā mea maʻi koʻikoʻi ke hoʻopau i ka hoʻokolokolo ultrasound cardiac ma ka ʻaoʻao moe me ka haʻalele ʻole i ka hale mālama, hoʻomaikaʻi nui i ka hōʻailona a me ka pae lapaʻau o nā maʻi koʻikoʻi.